Individual
KHEN NUDORU AWASOM-NKIMBENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1165B MIDDLESEX ST, LOWELL, MA 01851-1240
(978) 328-8050
Mailing address
1165 MIDDLESEX ST, LOWELL, MA 01851-1240
(978) 328-8050
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MA
376J00000X
Homemaker
—
MA
Other
Enumeration date
03/13/2018
Last updated
03/17/2018
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